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Previous Volume 358:1029-1036 March 6, 2008 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 45-year-old woman reports losing urine with coughing, laughing, or sneezing since the birth of her last baby. She has been unable to lose the 25 lb (11 kg) that she gained after her pregnancy 6 years ago. She voids every 3 hours and reports no urinary urgency or nocturia. Her incontinence keeps her from participating in her exercise class, and she . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Management

Absorptive Devices

Behavioral and Physical Therapy

Medications

Devices

Surgery

Areas of Uncertainty

Definition of Cure

Prevention

New Surgical Procedures

Guidelines

Conclusions and Recommendations

Source Information

From the Division of Urogynecology and Female Pelvic Medicine and Reconstructive Surgery Fellowship, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque.

An audio version of this article is available at www.nejm.org.

Address reprint requests to Dr. Rogers at the Division of Urogynecology and Female Pelvic Medicine and Reconstructive Surgery Fellowship, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, 2211 Lomas Blvd. NE, Albuquerque, NM 87110, or at rrogers@salud.unm.edu.

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